Congenital Thoracic Wall Deformities [electronic resource] : Diagnosis, Therapy and Current Developments /
Schwabegger, Anton H.editor.
These congenital deformities, funnel or keel chest deformities, as well as Poland syndromes, affect a small group of patients who suffer from aesthetic rather than functional impairment. The wide variety of diagnoses and recommended therapies, mostly surgical procedures, can be very confusing for patients, their parents, physicians and surgeons. In recent years several techniques have been refined and developed to deal with these complex problems, and surgeons with different specialties have been operating on these deformities, mostly as lonely experts in their respective fields. This book should not be seen as an operation atlas but more as a compact survey of a small group of medical conditions and the need for flexible options for an individual therapeutic approach, based on the combined experience of different international specialists. Thus the book is designed for obstetricians, pediatricians, physicians and surgical specialists alike.
Description based upon print version of record.
Title Page; Copyright page; Preface; Foreword; Table of Contents; Introduction; Deformities of the anterior thoracic wall; 2.1 Functional anatomy of the thoracic cage; 2.1.1 Introduction; 2.1.2 Developmental aspects; 2.1.2.1 Ribs and sternum; 2.1.2.2 Thoracic spine; 2.1.3 Mobility and motion; 2.1.3.1 Bones, joints, and the influence of anthropological factors; 2.1.3.2 Musculature; Muscular suspension of thorax; Muscles of thorax proper; The diaphragm; 2.1.3.3 The thorax as functional unit, mechanics of respiration; 2.1.4 Pearls of topographical anatomy; 2.1.4.1 Anterior thoracic wall
2.1.4.2 Thoracic cavity: the (anterior) mediastinum2.2 Genetics of chest wall deformities; 2.2.1 Pectus excavatum and carinatum; 2.2.2 Summary; Glossary; References; Electronic sources; 2.3 Classification/definition/description of typical and rare deformities; References; 2.3.1 Funnel chest/pectus excavatum and subgroups; References; 2.3.2 Keel chest/pectus carinatum and subgroups; References; 2.3.3 Pectus arcuatum; References; 2.3.4 Poland syndrome; 2.3.4.1 What is involved in Poland's syndrome?; References; 2.3.5 Cleft sternum and other anomalies Barbara Del Frari
2.3.5.1 Isolated cleft sternum2.3.5.2 Thoracic (true) ectopia cordis; 2.3.5.3 Pentalogy of Cantrell; 2.3.5.4 Other disorders of the rib cage; References; 2.3.6 Syndromal, mixed, and other deformities; References; Diagnostics; 3.1 Photography; References; 3.2 Thorax-caliper; 3.2.1 Technique of measurement; 3.2.2 Conclusion; References; 3.3 Radiologic diagnostics; 3.3.1 Conventional radiographs; 3.3.2 CT-scan; 3.3.3 Three-dimensional volume rendering CT reconstruction; References; 3.4 Haller index, pectus-severity-index; References; 3.5 Cardiopulmonal investigation; 3.5.1 Conclusion; References
3.6 Psychological investigation3.6.1 Psychosocial effects of a funnel or keel breast deformity; 3.6.2 Psychological test diagnostics; 3.6.2.1 Brief symptom inventory (BSI); 3.6.2.2 Short form 36 health survey (SF-36); 3.6.2.3 Inventory of interpersonal problems (IIP C); 3.6.2.4 Questionnaire for the judgment of own body (FBeK); 3.6.3 Conclusion; References; Aspects of indication setting for selection of individual therapy and informed consent; References; Therapy; 5.1 Basic surgical techniques with special considerations on skin incisions; References
5.2 Positioning of patients during surgery5.2.1 Positioning during funnel chest surgery; 5.2.2 Positioning during keel chest surgery; 5.2.3 Positioning during surgery of other deformities; References; 5.3 Special anesthetic considerations in thoracic wall surgery: epidural anesthesia, lung separation, and postoperative analgesia; 5.3.1 Introduction; 5.3.2 Pre-anesthetic consultation; 5.3.3 Anesthesia; 5.3.3.1 Thoracic epidural anesthesia; General considerations for the loss-of-resistance method used at the mid-thoracic level; Positioning and approach; Paramedian approach
5.3.3.2 Drugs and dosing for adolescents and adults
Includes bibliographical references and index.
These congenital deformities, funnel or keel chest deformities, as well as Poland syndromes, affect a small group of patients who suffer from aesthetic rather than functional impairment. The wide variety of diagnoses and recommended therapies, mostly surgical procedures, can be very confusing for patients, their parents, physicians and surgeons. In recent years several techniques have been refined and developed to deal with these complex problems, and surgeons with different specialties have been operating on these deformities, mostly as lonely experts in their respective fields. This book should not be seen as an operation atlas but more as a compact survey of a small group of medical conditions and the need for flexible options for an individual therapeutic approach, based on the combined experience of different international specialists. Thus the book is designed for obstetricians, pediatricians, physicians and surgical specialists alike.
Surgery.
Plastic surgery.
Thoracic surgery.
Surgery.
Plastic Surgery.
Thoracic Surgery.